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I think essentially every state has a medical school (I'm probably wrong on this, I've looked at the list there's an upsettingly small amount of medical schools in the United States), but those medical schools located in states with large underserved areas should certainly branch out and make serving said areas part of the preceptorships (probably too short) or the away rotations for that school. This gives constant attention to said areas, but like how some charity organizations approach third world nations, it just provides relief as long as the relief is being given. There is no actual fix for the topic at hand, and students can't really even provide care without an attending with them, but it might help with at least a few helping hands?? I really can't figure out a fix in my head. You can't force people to live where they don't want. You need to provide a competitive salary to physicians for them to even consider living in such areas (unless, as previously mentioned, they have ties to the area). And even then, it could probably be argued that there might not be enough specialists in the country to adequately give everybody coverage for every medical condition. Maybe one of the most productive or effective "fixes" would be to literally continue relying on local doctors, bad or not, for PCP / simple care, and provide subsidized or free transportation to cities to visit the big-name specialists.
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Jan 10, 2017 06:40
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whoa its almost like hte economy should be planned by a council of those involved in it #wow #whoa
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Jan 10, 2017 06:44
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http://i.imgur.com/ZbE4WNJ.gifv
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Jan 10, 2017 06:56
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logikv9 posted:but those medical schools located in states with large underserved areas should certainly branch out and make serving said areas part of [...] the away rotations for that school. this is what louisiana does. my wife did her family medical rotation out in opelousas, one of the not-completely-dead townships out in the middle of nowhere that's somehow still got a shadow of an economy due to an iconic sausage producer and well-known spice company there (savoie's andouille and tony chachere's). not that you can tell from how devastated the area is - all empty storefronts and abandoned housing, and foil over all the windows that have cars parked near them. city hall didn't appear to have business hours during the full workweek. anyway they had her switching between a few of the local clinics and a few days into the first week she got to see the cops come in and arrest one of her attendings for oxy prescription abuse (he was a libertarian and didn't think the feds had any right to question his reasons for handing the stuff out). fortunately it wasn't the attending who owned the house she and her classmates were staying at. said the rest of rotation was uneventful, just olds getting diabetes treatment over and over and over since that's most of what's out there before that they had her nearby at the old state insane asylum that's of course been scaled back considerably from when it used to be its own little town that the staff lived at for such a once-huge facility. the graveyard is still there filled with unmarked tombstones (since a lotta the time before neuroleptics they didn't know the patients' names), as well as the old empty dormitories and a little boarded up schoolhouse and playground/park area. one of the old dorms was renovated to be livable for the med students rotating through, and when i visited for a weekend they showed me the basement where the manacles are still set into the brick. of course what few staff they have now don't live nearby anymore even tho it's a p nice area of louisiana since of course it's haunted (everyone in the south believes in ghosts) nowadays there's a few criminally insane people there but mostly it's for addiction recovery/rehab performed on behalf of the state H.P. Hovercraft has issued a correction as of 07:30 on Jan 10, 2017 |
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Jan 10, 2017 07:26
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anyway i have family out in rural louisiana but until i visited during her rotations i had never seen what medicine was like out there super depressing
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Jan 10, 2017 07:29
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mrbradlymrmartin posted:nc is more horrifying more fascinating and more tests North Carolina Democrats are probably the most active in the country at this point. The GOP made under dogs of them all. Kansas has zero hope.
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Jan 10, 2017 07:57
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Thoguh posted:TBH if you're willing to turn down an extra $500k a year, which would be like a 40% pay bump, just to not live in (presumably) Salt Lake City, which has a metro area of over a million and is a short flight away from LA or SF then I think that's more of a problem with the doctors having weird priorities and biases than anything else.
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Jan 10, 2017 08:00
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logikv9 posted:I think essentially every state has a medical school (I'm probably wrong on this, I've looked at the list there's an upsettingly small amount of medical schools in the United States), but those medical schools located in states with large underserved areas should certainly branch out and make serving said areas part of the preceptorships (probably too short) or the away rotations for that school. This gives constant attention to said areas, but like how some charity organizations approach third world nations, it just provides relief as long as the relief is being given. There is no actual fix for the topic at hand, and students can't really even provide care without an attending with them, but it might help with at least a few helping hands?? I really can't figure out a fix in my head. this would require the flyover states to admit that they're a blasted hellhole of opiate addicts that need charity medical care like a sub-sarahan african country, which flies directly in the face of being The Greatest Nation on Earth
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Jan 10, 2017 09:01
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Nonsense posted:North Carolina Democrats are probably the most active in the country at this point. literally your best name post combination ever way 2 fuggin go
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Jan 10, 2017 09:09
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sounds like the us needs to educate more doctors maybe you could reach out to cuba for aid
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Jan 10, 2017 10:15
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mrbradlymrmartin posted:literally your best name post combination ever Ah ok, nobody is doing anything in North Carolina, people are just rolling over and taking it
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Jan 10, 2017 10:22
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My girlfriend just started her residency in California. Even in California, there's rural areas that have a huge shortage of doctors, pays high, and is only only 1-2 hours from San Diego/LA. Why would anyone choose to live in the mid-West when you can just choose some rural area in CA/OR/WA so housing isn't as bad, and still have access to all the best parts of the West. She originally wanted to move back to Utah after residency, but after spending a winter here with 60-70 degree weather, having access to amazing ethnic food, I've finally convinced her to stay in Cali. Good luck recruiting anyone that's not a non-native to states that require their female patients to hold funerals for their miscarriages/abortions, and good luck recruiting any minorities/immigrants to service those areas. All you'll get are doctors that prescribe opiates to fix everything.
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Jan 10, 2017 16:40
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Prav posted:sounds like the us needs to educate more doctors pretty fuckin' difficult it's not even just medical schools being ultra-competitive with little spots. it's that to become a doctor (or an attending, more accurately) you need residencies, and those are limited, nearly hard-wired numbers that are a bitch for hospitals to grow. they simply don't need that many residents to begin with. if every med school in the country doubled their graduating class, nevermind the initial resource crunch of every school having to accommodate double the students, but then you'll have thousands of Dr. So and Sos who are incapable of practicing and are thus stuck with hundreds of thousands of dollars in debt for no reason
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Jan 10, 2017 16:58
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also residency program funding is directly tied to medicaid and pay for the residents themselves hasn't increased since like '92. in california it'll be below the minimum wage soon lol
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Jan 10, 2017 17:03
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H.P. Hovercraft posted:also residency program funding is directly tied to medicaid Plus, they are rolling back rules that limit the number of hours a resident can work, and bumping it to 28 hours straight. While residents are capped at 80 hours a week, my girlfriend had to lie on her timesheet in order to stay under that limit and meet up with patient load. Good luck getting doctors if they keep killing themselves.
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Jan 10, 2017 17:12
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maybe hospitals could admit more residents if they stop working the ones they already have completely to death but then that would be unfair to the grouchy assholes that had to do that Back In Their Day, so nothing changes
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Jan 10, 2017 17:23
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ITT a bunch of coasties tell the midwest/south to just loving kill themselves.
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Jan 10, 2017 17:45
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Peanut President posted:ITT a bunch of coasties tell the midwest/south to just loving kill themselves. p much
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Jan 10, 2017 17:47
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i wonder why hillary lost the election
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Jan 10, 2017 17:48
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Boy, I'd really love to save you from that burning building but your just so...poor
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Jan 10, 2017 17:53
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tell me how you would solve the problem, president carter
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Jan 10, 2017 17:54
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Yeah get paid 10 million dollars a year for 10 years and possibly improve the lives of a bunch of cousin-loving retards? No thanks I'd rather die in poverty in Palo Alto. 
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Jan 10, 2017 17:55
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Peanut President posted:ITT a bunch of coasties tell the midwest/south to just loving kill themselves. Let's be fair. It's more along the lines of "Cool ethnic food >>> helping your fellow man."
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Jan 10, 2017 17:55
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solution seems so simple: force people to live in places they don't necessarily want to live
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Jan 10, 2017 17:57
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logikv9 posted:tell me how you would solve the problem, president carter Oh lord no, I'd hate to sully your brainwaves with my backwards thinking.
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Jan 10, 2017 17:57
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Peanut President posted:Boy, I'd really love to save you from that burning building but your just so...poor lol why would i even be in their poo poo neighborhood to begin with. i would tell my driver not to stop at the red lights
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Jan 10, 2017 17:57
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Peanut President posted:Oh lord no, I'd hate to sully your brainwaves with my backwards thinking. 
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Jan 10, 2017 17:59
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I mean I'm just some backwoods hyper chicken but I would think a doctor would have a moral imperative to improve people's lives in some fashion instead of being concerned with how many 12 dollar ethnic tacos they can shove down their loving gullet
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Jan 10, 2017 18:00
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Nonsense posted:Ah ok, nobody is doing anything in North Carolina, people are just rolling over and taking it the fukken democrats sure as hell are the only worthwhile opposition has come from the people not one or the other $hit party
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Jan 10, 2017 18:00
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Peanut President posted:I mean I'm just some backwoods hyper chicken but I would think a doctor would have a moral imperative to improve people's lives in some fashion instead of being concerned with how many 12 dollar ethnic tacos they can shove down their loving gullet doctors need to have some sort of moral imperative to deal with 8+ years of nonstop schooling / awful work, but get this: they are also human beings with families (or want families) and if they don't want to have them in alabama then shruggggg
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Jan 10, 2017 18:02
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logikv9 posted:solution seems so simple: force people to live in places they don't necessarily want to live who the gently caress said that i said if we had a centrally planned economy we would be able to address these problems on a national level remove the posse comitatus act and fukken set up M*A*S*Hes in kentucky, poo poo
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Jan 10, 2017 18:02
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I mean you want a real answer the government could take over the entire health care system and treat it like any other public good like police and fire but apparently that's loving impossible.
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Jan 10, 2017 18:03
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People in the poor parts of this country ain't dying from ultracancer they're dying from poo poo that is simple as gently caress to fix but no one can afford it.
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Jan 10, 2017 18:05
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but the problem, at least in this thread, is not whether or not they can afford treatment it's whether or not there will be somebody available who can adequately treat
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Jan 10, 2017 18:06
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just get rid of the ama and let the free market decide who gets to provide healthcare. bullshit doctors organizations are using crony capitalism to depress the supply of doctors and inflate their wages at the same time we need to abolish mandatory schooling because i want poor people to compete with children for jobs also it will make the economy better
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Jan 10, 2017 18:06
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good job your obamacare can afford that cadiologist appointment, unfortunately the closest one is in the city 35 miles away because well you live in the middle of nowhere
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Jan 10, 2017 18:07
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logikv9 posted:good job your obamacare can afford that cadiologist appointment, unfortunately the closest one is in the city 35 miles away because well you live in the middle of nowhere For most people in the flyover 35 miles is their daily loving commute.
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Jan 10, 2017 18:12
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Peanut President posted:For most people in the flyover 35 miles is their daily loving commute. one way maybe
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Jan 10, 2017 18:13
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Like you ain't gonna have a loving heart doctor in a town of 200 people, that's what big fancy hospitals are for. The problem is nobody can afford those doctors, and Obamacare sure as gently caress wasn't the answer.
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Jan 10, 2017 18:13
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cumshitter posted:just get rid of the ama and let the free market decide who gets to provide healthcare. bullshit doctors organizations are using crony capitalism to depress the supply of doctors and inflate their wages Yeah, bring back the good old days of Snake Oil Salesmen and we can at least provide Great Leap Forward levels of medical care to these folks. Hell, if we could come up with Traditional Southern Medicine like there is Traditional Chinese Medicine there's a ton of reasons to quickly become a medical professional! Supply problem solved!
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Jan 10, 2017 18:14
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